After starting and after each dose increase, tirzepatide can cut the peak absorption of an oral contraceptive by more than half, so the label guidance is a non-oral method or added barrier protection for four weeks after starting and four weeks after each increase. It is a first-dose-and-escalation effect, not a permanent block on all oral drugs
Then 2,000 / 5,000 = 0.4mL = 40 units
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Beyond-use periods must follow the SmPC : Generic claims about multi-dose vials remaining usable for a fixed number of days are not appropriate
The 3-week mark seems to be a common turning point